Examples of demographics you may want to consider: Gender, Age Group, Marital Status, Household Size (including adults, infants, and children of all ages)

N508PE/N508/N508 PE/ N 508

N508PE Clinical and Administrative Systems

Module 4 Assignment

Use the Assignment 2 Instructions (PDF included in this module) to create a cloud-based data collection form.

Examples of demographics you may want to consider: Gender, Age Group, Marital Status, Household Size (including adults, infants, and children of all ages), Race/Ethnicity, Highest Completed Education, Current Employment Status, Gross Income before taxes, Type of Housing (Own/Rent), Urban/Rural, Internet Access

The form should include a variety of response options for the seven survey items including date, short answer, paragraph, multiple choice, checkboxes, dropdown list, and scale.

Upload your form here.

When you are ready to submit assignment 2, please place link on word document. You can hyperlink it or simply copy and paste the link on the page. Please read and follow the instructions. You must also mark this assignment as public.

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